Individual
STAVROULA EFSTATHIADIS PRENTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
13915 BURNET RD STE 100, AUSTIN, TX 78728-6525
(512) 220-7002
(844) 831-1148
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
022310
NY
363A00000X
Physician Assistant
PA17409
TX
363AS0400X
Surgical Physician Assistant
Primary
PA17409
TX
Other
Enumeration date
08/04/2018
Last updated
07/30/2024
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